HomeMy WebLinkAbout903 SADDLEBROOK LN - APPLICATIONS - 10/16/2003BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 • Fax =4-6134
BUILDING PERMIT APPLICATION
Last First
Middle Phone
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CDStreet
Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE.
City State Zip Code
EQ.- -S T " 30 C�)
C t` ry -r Eve ry va C v o0 1 j
Company Name License Number
Supervisor & Cert. #
0
5►`tirn� �`�S lVt3C)vE iD-313
10
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Mailing Address City
State Zip Code
Ul
Phone 3a 3 3 Z3 1 1 3 3
Please Specify: LN. DR. CR.
WY. PL. ST CT RD. AVE. Zip Code
1 ;
1 1 • �1 v; Q-f:lc rry C-
Subdivision/PUD
CM
Filing Number Z Lot Zq S Block
Lot Area I o g 0
Building Square Footage Number of Stories
Building Height
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2L+53
Number of Dwelling Units Number of Bedrooms/Bathrooms Unfinishe finished Basement Sq. Ft.
1 `4
Stock Plan Nurpber/Options Ra
Energy Score/ E-Star/Air S aling/Blower Door
1 too t(!, z Y N
L-o w E-0- NJ o v ✓=
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Water Tap Size 3 Sewer Tap Size
Metered
Type of Heat:
lectric Main Breaker Size (Residential Only)
Temporary Electric Pedestal Requested:
Gas ❑ Electric
150 amp or less ❑ 200 amp ❑ other
I "51�'es ❑ No
(including labor, material, profit) $
Z- 13 3 z L4 . 2-
Description of Work:
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JoD Contact Name & Phone #: 1 l �� m P
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Subcontractor Names:
Electrical B ft'r-r`-' E- S (-- Mechanical A- R- P `R-� �'�-TS Plumbing 0 W m Qi
Framer ►a A-jc-0-TfZ'r Roofing L't-rv't'5E-L'L- (3 E'4n-U Concrete Z.R-p j 6 r j 2>17LCI Tf E-O—S
II hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements contained herein and city ordinances and state laws regulating building construction.
R
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Signature
a
a
Print Name
Phone o 3 3 l 13 3
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE